How much rates vary
Facilitymedian $1,122 · 10th to 90th $302 to $3,162Professionalmedian $1,318 · 10th to 90th $661 to $2,512
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | None | $645.65 | $645.65 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,019.95 Median $4,265.80 Typical High $7,943.28 | Facility | None | $3,019.95 | $4,265.80 | $7,943.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,318.26 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $831.76 Typical High $1,380.38 | Professional | 62 · Two surgeons | $630.96 | $831.76 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,023.29 | $1,737.80 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,691.53 | Facility | None | $954.99 | $1,513.56 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,570.40 | Professional | None | $912.01 | $1,584.89 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $562.34 Typical High $1,737.80 | Facility | None | $125.89 | $562.34 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $5,011.87 | Professional | None | $724.44 | $1,348.96 | $5,011.87 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $2,511.89 | Professional | None | $691.83 | $1,202.26 | $2,511.89 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | 54 · Surgery only | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $67.61 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 8th of 51
$1,288
AK $2,754UT $589
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.